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Organization
EMERALD CARE IN
Active
Organization
EMERALD CARE IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX HENDERSON (OWNER/AUTHORIZED OFFICIAL)
(812) 850-0619
Entity
Organization
Contact information
Practice address
202 E MAPLE ST, JEFFERSONVILLE, IN 47130-3420
(812) 850-0619
(317) 458-1794
Mailing address
407 MALCOLM DR, WESTMINSTER, MD 21157-6107
(812) 850-0619
(317) 458-1794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/03/2025
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